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Triage Nurse LPN or RN (Part Time/Weekends) Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine.

St. Luke's University Health Network St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to...

Job Summary: We seek a highly skilled and experienced Registered Nurse with specialties in Medical/Surgical, ICU, ER, Psychiatric, Labor & Delivery, PACU, or Operating Room to perform utilization review duties. The Registered...

POSITION SUMMARY The purpose of your job position is to provide each resident with routine daily nursing care in accordance with current federal, state, and local standards that govern the facility and as directed by your...

Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope's growing national system includes its Los Angeles...

Nurse - Clinical Review Performs utilization review of cases to determine if the request meets medical necessity criteria in accordance with medical policies agreed upon with the Client and any applicable governing body. Facilitates...

Appeal Analyst RN | Contract Walker Healthforce is seeking an Appeal Analyst RN with a minimum of 3 years of clinical experience and 3 years of Utilization Management experience to complete...

Registered Nurse The registered nurse is expected to provide direction to members of the patient care team through case management of a patient. Case management of patient services includes: Perform initial evaluation, follow...

Remote Registered Nurse In this remote role, the RN will manage utilization reviews, ensuring patient care meets medical necessity standards. Responsibilities include assessing patient cases, collaborating with interdisciplinary teams,...

Part C Grievance & Appeals Nurse (Utilization Management Nurse 2) Become a part of our caring community The Part C Grievance & Appeals (G&A) Nurse (Utilization Management Nurse 2) utilizes clinical nursing skills to support the...

Providing remote support for pharmacy benefits, the part-time Licensed Vocational Nurse in Rhode Island will manage prior authorization requests, review clinical criteria, and document necessary information while assisting prescriber office staff...

Job details About the Opportunities: #PatientSafety #HealthcareLeadership #NursingCareers #ClinicalExcellence #QualityImprovement RN - Patient Safety Officer...

RNs with Leadership qualities are ENCOURAGED to apply! Briarcrest Nursing Center is a SNF and Sub-Acute located in Bell Gardens, CA with 135-beds. Shifts available as of...

A healthcare organization is seeking an RN Case Manager to work remotely and facilitate case management activities, evaluating medical needs for overall member wellness. Candidates should have an active RN license, ideally compact, with at least...

Where You'll Work CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S., from clinics and hospitals to home-based care and...

The Center for Sports Medicine and Orthopaedics is seeking an RN/LPN for a part-time position to triage patients remotely in Chattanooga, TN. The Center for Sports Medicine & Orthopaedics is Chattanooga's leading provider of...

RN Clinical Coordinator Home Health Attention all RN Home Health Clinical Coordinators! You Your new Journey awaits!!! Come share our passion, mission and vision tor extraordinary community-based services around the Hampton Roads. Lake...

Registered Nurse (RN) – Utilization Management Join a dynamic healthcare team and make an impact on patient care from wherever you work. We are seeking an experienced Registered Nurse (RN) to support our 24/7 Utilization...

Travel Rn Opportunity In Lawton, Ok Assessing, planning, implementing, and evaluating patient care plans in consultation with healthcare professionals. Evaluating medical information, as well as providing direct and individualized bedside...

Registered Nurse (RN) Reviewer Avar Consulting, Inc, a wholly owned subsidiary of AMDEX Corporation, is a policy research firm with more than 20 years of leadership and experience in social science research, data collection and analysis,...

Complex Care Registered Nurse (RN) Join a purpose-driven team in downtown Los Angeles as a Complex Care Registered Nurse (RN) supporting the PACE Program. We're seeking a dedicated nurse who is committed to providing compassionate,...

Operating Room Registered Nurse The Registered Nurse in the Operating Room provides safe and effective care of the perioperative patient. The OR RN is responsible for assessing the patient, planning and implementing care specific to each...

Alliance Liaison If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where...

Correctional Nurse A Correctional Nurse performs professional nursing services to arrestees/prisoners in City jails. Duties performed include the following: utilizing protocols in the provision of care; assisting the medical staff with...

RN Coordinator Utilization Management The RN Coordinator Utilization Management will review submitted authorization requests for medical necessity, appropriateness of care, and benefit eligibility. This position reviews applicable...